Provider Demographics
NPI:1275714883
Name:HEBARD, JAMES ALLEN (MD, MPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ALLEN
Last Name:HEBARD
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Gender:M
Credentials:MD, MPH
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Other - Credentials:
Mailing Address - Street 1:KU MEDWEST OCCUPATIONAL HEALTH
Mailing Address - Street 2:7405 RENNER ROAD, LEVEL 2, POD D
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66217-9414
Mailing Address - Country:US
Mailing Address - Phone:913-588-2200
Mailing Address - Fax:913-588-8423
Practice Address - Street 1:KU MEDWEST OCCUPATIONAL HEALTH
Practice Address - Street 2:7405 RENNER ROAD, LEVEL 2, POD D
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66217-9414
Practice Address - Country:US
Practice Address - Phone:913-588-2200
Practice Address - Fax:913-588-8423
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2022-10-17
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Provider Licenses
StateLicense IDTaxonomies
KS04-455052083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E72121Medicare UPIN